Active NPI
Michaela Lynn Small, APRN
- Family Nurse Practitioner
- Humphrey, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 111369
- Practice address
- 47452 268TH Ave
Suite C
Humphrey, NE 68642 - Phone
- (402) 923-0150
- Fax
- (402) 844-8356
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111369 | NE | Primary |
Addresses
Primary practice location
47452 268TH Ave
Suite C
Humphrey, NE 68642
Mailing address
47452 268TH Ave
Suite C
Humphrey, NE 68642
Phone (402) 923-0150
Other names 1
- Michaela Lynn Happ
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121022000483 | NE | Practitioner - Nurse Practitioner | 1153571401 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faith Regional Physician Services LLC
Practice addresses (Care Compare)
47452 268 Ave
Suite C
Humphrey, NE 68642-5178
Phone (402) 923-0150
Hospital & facility affiliations
- Faith Health Home Health
- Faith Health
- Columbus Community Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.77 of 100
- Quality
- 67.03
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Medical Center, P.C. | Current | Accepting new patients | |
| Columbus Urgent Care LLC | Current | Accepting new patients |
Locations
1454 28th Ave
Columbus, NE 68601
Phone (402) 564-2816
4600 38th St
Columbus, NE 68601
Phone (402) 562-3333
3100 23rd St
Ste T
Columbus, NE 68601
Phone (402) 562-5400
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73377
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbus, NE
- NPI 1548269368
-
- Urgent Care Clinic/Center
- Columbus, NE
- NPI 1760799910
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Norfolk, NE
- NPI 1841395126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1265796304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47452 268TH AVE",
"address_2": "SUITE C",
"city": "HUMPHREY",
"state": "NE",
"postal_code": "68642",
"telephone_number": "402-923-0150",
"fax_number": "402-844-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47452 268TH AVE",
"address_2": "SUITE C",
"city": "HUMPHREY",
"state": "NE",
"postal_code": "68642",
"telephone_number": "402-923-0150",
"fax_number": "402-844-8356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "MICHAELA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAELA",
"last_name": "HAPP",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Humphrey, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.